Investigation of the visual cytoscreening of conventional gynecologic smears. II. Analysis of eye movement.

The perception of visual information in cytoscreening was studied: eye movements were recorded while the cytotechnologist was screening cervical smears by means of a projection screen. Four phases of eye movement could be distinguished: small, aimless movements during the stage movement; a latency period with a duration of about 180 milliseconds; saccadic movement to the position of an object; and fixation on an object. These components explain the two-phase behavior of cytoscreening found in our previous investigations of the stage movement. Visual perception during the period of latency was found to be the most important since only those objects that are recognized by peripheral vision during this period can trigger the necessary saccadic movement before fixation takes place. The scanpath of search in the stationary field of view is determined by the conspicuousness of the objects; the main features of conspicuousness are size and contrast. Even with the comparatively small fields of view (24 degrees and 29 degrees in diameter) used in these experiments, it was found that the detection threshold of peripheral vision increases towards the margin of the field of view. This raises the question of whether the use of large-field binoculars (with 40-degree visual angles) may cause higher false-negative rates for samples with only a few atypical cells.